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Experts at The Vanderbilt Kennedy Center and the state of Tennessee say families in poverty with disabilities in Tennessee and nationwide face difficulty both accessing and utilizing long term services and supports (LTSS) in both rural and urban areas. This article breaks down issues of accessibility across the country by discussing how affordable housing, transportation, and social determinants of health affect individuals differently based on their ability and region.

Using data from the 2019 AAA National Survey, this brief, explores differences and similarities between AAAs serving rural and non-rural areas in structure, budget, workforce and service provision, including home repair and modification, transportation and evidence-based programs.